# ST. ELIZABETH MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. ELIZABETH MEDICAL CENTER, INC.
- **Other names:** St. Elizabeth Center for Family Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710001185
- **Legal business name:** ST. ELIZABETH MEDICAL CENTER, INC.
- **Authorized official:** TIMOTHY GRAMANN (DIRECTOR FAMILY PRACTICE CENTER ADM)
- **Authorized official phone:** (859) 301-3800

## Contact information

- **Practice address:** 413 S LOOP RD, EDGEWOOD, KY 41017-5446
- **Practice address phone:** (859) 301-3800
- **Practice address fax:** (859) 301-3987
- **Mailing address:** 413 S LOOP RD, EDGEWOOD, KY 41017-5446
- **Mailing address phone:** (859) 301-3800
- **Mailing address fax:** (859) 301-3987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | KY | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 09/30/2025